Stephanie M Bergkamp, TLPC
Counselor, Professional in Ulysses, KS. Individual provider (NPI-1).
NPI number1437662012
StatusActive
Last updated in NPPESNov 6, 2017
Details
- NPI
- 1437662012
- Entity type
- Individual (NPI-1)
- Name
- Stephanie M Bergkamp
- Credential
- TLPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2017
- Last updated
- Nov 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 3174 | KS | Yes |
Practice location
404 N Baughman StUlysses, KS 67880-2058
Phone 620-356-3198 · Fax 620-356-3101
Mailing address
Po Box 477Garden City, KS 67846-0477
Phone 620-275-0644 · Fax 620-272-0239
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